产妇入院指导

2013-04-09 02:19吴山虹
护士进修杂志 2013年8期
关键词:王女士围产期规章制度

交流

(她回到办公室,与营养科联系好了王女士的午餐,翻阅了王女士的门诊病历、围产期检查记录和刚才产房内做的检查结果,准备了体检用物、入院介绍单、孕妇保健手册,来到王女士床旁,见产妇已起床,便问)

护士:小王您休息了一会儿现在感觉如何?

病人:好多了。

护士:现在我给您介绍一下医院的规章制度,好吗?

病人:可以。

(李护士把住院须知、作息、陪探、规章制度、病室内设施的应用、物品的存放、信号系统的使用方法、床位医师等一一作了介绍。)

护士:王女士,刚才给您介绍了这么多,能记住吗?

病人:记住了,非常感谢您为我作了如此详细的介绍。

护士:接下来我想帮您量个体温和血压,您喝过热水吗?

病人:没有。

护士:好的,我们开始吧。

(李护士分别为王女士量了体温、脉搏、血压。告诉王女士测量的结果在正常范围,让她放心。)

护士:我还想了解一下您的一般情况。

病人:好的。

(在交谈的过程中,李护士针对产科护理评估单的内容包括生活习惯、健康状况、食欲睡眠、大小便情况以及月经史、孕产史等逐一进行了评估。)

护士:王女士,从我了解的资料中看出您的身体很健康,分娩条件也较好,我想您一定能顺利度过分娩期的。目前您已经临近预产期,而且还有些下腹胀痛的感觉,需要住院观察,不要随便外出,好吗?

Interactions

(Nurse Li returns to the nurses’station and contacts the nutrition department for Mrs.Wang's lunch,reads her medical history,the prenatal record,and the tests results.Then she prepares the guidelines for hospitalization,the introduction list,and expectant mothers’healthcare manual,and then goes to Mrs.Wang's room.Seeing Mrs.Wang has already gotten up,she asks)

Nurse:Mrs.Wang,how do you feel after resting?

Patient:Much better,thanks.

Nurse:I would like to introduce the hospital regulations to you now,OK?Patient:Sure.

(Nurse Li gives Mrs.Wang the introduction one by one,regarding the hospitalization,the regulation for activities,resting,and visitation,the use of equipment in the ward,how to store personal belongings,use of the signal system,and the doctors in charge of her bed,etc.)

Nurse:Mrs.Wang,I gave you so much information.Can you remember them?

Patient:Yes,I can.Thank you very much for the detailed introduction.

Nurse:I will measure your blood pressure and temperature now.Did you drink any hot water?

Patient:No.

Nurse:Good,let's begin.

(Nurse Li takes Mrs.Wang’s body temperature,pulse,blood pressure,and tells her that the results are all normal so she will not be worried)

Nurse:I’d also like to obtain some other information about you,OK?

Patient:OK.

(During the conversation,Nurse Li carries out the assessment by following the obstetrics nursing assessment sheet that includes life habits,health condition,appetite and sleeping pattern,menstruation history,and previous delivery history,etc.)

Nurse:Mrs.Wang,I can see from the data that you are healthy and your status for giving birth is also good.I think that you can get through the birth smoothly.Since you are having some abdominal distention pain,you are near the delivery time now.You need to stay in the hospital for observation.So don't go out by yourself,OK?

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